关节疼痛

Several investigators have determined that placing the electrode parallel rather than perpendicular to the target nerve substantially increases the size of the lesion, thereby reducing the likelihood the treatment will miss or only partially coagulate the target nerve.234,235 After a literature review and cadaveric study, Lau et al.234 concluded the ideal electrode position is across the lateral neck of the superior articular process rather than the groove formed at the angle of the superior articular and transverse processes, as was used in most studies.159,160Other investigators have found the maximal lesion size to be reached within 60 s of lesion time,235–237 independent of whether the system is temperature or voltage controlled.238 Studies conducted in human myocardium have determined that irrigation fluid has either no effect or a slightly beneficial effect on lesion size.239 Hence, the use of LA to prevent procedure-related pain or steroid to reduce the incidence of neuritis184 should theoretically have no adverse effects on the efficacy of radiofrequency denervation.

一些研究者认为，将点击平行的置于目标神经比将其垂直置于目标神经增加了消融的范围，因而减少损伤可能使目标神经不被或部分被消融。Lau等回顾了文献中对尸体的研究，总结出理想的电极放置位置为上关节突颈部外侧而非常采用的上关节突与横突形成的沟。其他学者研究发现，不论系统是温度控制或电压控制，其最大的损伤范围都在60秒内达到。在心肌灌注的研究中，灌注液多损伤范围造成轻微或不造成损伤。因此，使用LA预防过程相关性疼痛或类固醇防止神经炎发生时，需理论上确保对射频消融效果无副作用。

Air-conditions make you notice that you have spine and muscle problems because of working all the time?If your sleeping quality is going down, your stomach gets more and more frequently sick then you definitely have to work on your health. Maybe you have already tried different ways to help yourself.

夏季高温开空调已成了白领人群&杀手&，近期患有关节着凉受损伤、颈椎、肩、腰椎等多处疼痛以及弓腰紧缩疼痛发作等的病例较平时增加了20%，平时因工作积累的病患现在一时之间严重突显出来。

At age 25 his elbows and knees became swollen and painful. He was admitted to a local hospital and found to hae lytic lesions in the mandible, claicles and patellae; bone biopsies were nondiagnostic and cultures were negatie for bacteria, fungus and TB. At age 27 he deeloped pain and restricted motion in the temporomandibular joints.

他17岁时出现背下部痛，晨僵，且体重减轻40磅。25岁时手肘和膝盖肿胀疼痛，遂于当地医院住院，发现下颌骨、锁骨和膝盖骨有溶解性病损，骨活检不能诊断，骨培养也未发现细菌、真菌和结核。27岁时，他的颞颌关节出现疼痛，且转动受限。29岁时他因进食困难而来约翰斯。

If you can understand that this is a process, one that will be served well by taking your time and going step-by-step, your physical and mental barriers to healing will fall away, as will your backaches, swollen joints and back and neck soreness.

如果你能理解这是一个过程，需要花费一些时间逐步建立身体的平衡，那些在治疗中的身心障碍将被去除，同时你的背部疼痛，关节肿胀以及背部颈部疼痛也将逐渐得到治疗。

The reasons for false-positive facet blocks are multifactorial and include placebo response (18–32%) to diagnostic facet interventions, use of sedation, the liberal use of superficial LA, and the spread of injectate to paingenerating structures other than those targeted.166 Although some investigators have disputed this assertion,167,168 it is our belief that not only opioids, but sedatives such as midazolam, can lead to false-positive blocks by interfering with the interpretation of analgesic response (i.e., preventing a patient from engaging in normal activities) and virtue of their muscle relaxant properties.169 In a recent survey conducted in 500 patients receiving facet blocks or epidurals at an outpatient spine center, only 17% requested sedation.170

小关节阻滞性诊断的假阳性结果的原因是多种多样的，包括安慰剂反应(18–32%)，如利用镇静剂，浅表大量应用LA以及注射液外渗到目标外的其他疼痛发生阻滞。虽然有些学者对这种论断持怀疑态度，但是我们认为不论类罂粟碱，咪达唑仑等镇静剂，都可因具有麻醉反应（如可阻止患者从事正常活动）及肌松特点而导致假阳性率。在最近一项500人的研究中，这些门诊患者接受了小关节阻滞或硬膜外阻滞，只有17%患者需要镇静剂。

Comparison was made about the clinical performance, such as 10 meters walking time, patient self-appraisal, squat activities and sporting pain, joint swelling, joint effusion and bone friction sound of the three groups of patients before treatment and one months, three months, six months, one year after treatment.

对比观察三组患者治疗前和治疗1月、3月、半年、1年时10米步行时间、患者自我评价、下蹲活动及运动疼痛、关节肿胀、关节腔积液、骨摩擦音等临床表现。

By needle Jiu, massage , is taken orally 3 Bi soup, pain alleviation has stiff finger subsequently, toe joint is swelling to ache , knee joint swell as ball, numb pain, shoulder joint and waist in night pain very, get up to move about rear pain reduce , it is difficult to treat invalid, edible sleep for a long time.

经针灸，按摩，内服三痹汤等，痛苦悲伤缓解，嗣后，手指僵硬，脚趾关节肿疼，膝关节肿胀如球，麻木疼痛，肩关节和腰部于夜间痛甚，起床活动后痛减，久治无效，食眠艰难颈椎退行性改变。

It is frequently lead to pathological change of joint at digit wrist elbow and shoulder such as pain paralysis of nerve ending stiff joint and cyst.

手杖是行动不便患者的常用的简单用具，临床上因使用不当产生指、腕、肘和肩等关节部位的改变，如疼痛、末梢神经麻痹、关节硬化和囊肿等。

This findings explained why the cases of disorders of the lumbar vertebral posterior joint can not describe the spot of pain and its character exactly.

解释了腰椎后关节紊乱症的疼痛位、疼痛性质在患者主观描述中模糊不清的原因。

Methods Gothic arch tracing method was applied to20patients that included10patients of face unbalance,6patients of TMJDS,4patients of myofasical pain to confirm mandible's relations.

对20例患者，其中面部失衡患者10例，颞下颌关节紊。。。目的改善因为下颌偏位引起咬合障碍的总义齿患者，恢复其正常的生理功能。方法对20例患者，其中面部失衡患者10例，颞下颌关节紊乱综合征患者6例，肌筋膜疼痛4例。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。